Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | Y50072087950 | IL |
N | 207V00000X | Obstetrician & Gynecologist | 036149980 | IL |
N | 207V00000X | Obstetrician & Gynecologist | 2015020400 | MO |
Y | 207VG0400X | Gynecologist | 2021018181 | MO |
NPI | 1043528540 |
---|---|
Provider Name | Dr. Rachel Yoon Kmetz |
First Address | Saint Louis, MO 63141-8260 |
Second Address | Saint Louis, MO 63141-8260 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2010 |
Last Update Date | 18/06/2021 |